PARK AVE APOTHECARY LLC (NPI# 1568538668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568538668 |
| Entity Type | Organization |
| Organization Name | PARK AVE APOTHECARY LLC |
| Other Organization Name | THE MEDICINE SHOPPE |
| Practice Address |
2431 N Union Blvd Colorado Springs CO 80909-1107 |
| Mailing Address |
2431 North Union Blvd Colorado Springs CO 80909 |
| Practice Telephone | 7196303154 |
| Practice Fax Number | 7196301640 |
| Mailing Telephone | 7196303154 |
| Mailing Fax Number | 7196301640 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | PATRICK SCHEELS (OWNER) |
| Authorized Official Telephone | 3038987183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PDO.0240000040 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162020 | 01 | |
| CO | 35135182 | 05 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862485 | Park Ave Apothecary LLC | Pharmacy | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2019-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Park Ave Apothecary LLC | 2431 N Union Blvd, Colorado Springs, CO 80909 |
| Street Address |
2431 N UNION BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862485 | Park Ave Apothecary LLC | Pharmacy | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2019-07-16 |
| 1699105874 | Sarah Richardson | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2013-11-25 |
| 1669740825 | Karen Patricia Williams | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-02 |
| 1730457995 | Douglas Massingill | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-02 |
| 1376811695 | Jennifer Dawn Cantrell | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-01 |
| 1346518669 | Jeffrey Lynn Stoner | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2011-12-01 |
| 1861713372 | Rhiannon Trepanier Harfert | Pharmacist | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2010-06-18 |
| 1942437975 | Eugene T Bockrath | Pharmacy | 2431 N Union Blvd, Colorado Springs, CO 80909-1107 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805067 | Uch-mhs | Pharmacy | 4050 Briargate Pkwy Rm C1318, Colorado Springs, CO 80920-7815 | 2018-09-18 |
| 1790029494 | Walmart Inc. | Pharmacy | 1622 S Academy Blvd, Colorado Springs, CO 80916-4521 | 2012-11-19 |
| 1205099850 | Dillon Companies LLC | Pharmacy | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918 | 2008-07-03 |
| 1992982755 | Printers Parkway Pharmacy, LLC | Pharmacy | 155 Printers Pkwy Ste 120, Colorado Springs, CO 80910-6100 | 2008-01-23 |
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| 1669663027 | Dillon Companies LLC | Pharmacy | 9225 N Union Blvd, Colorado Springs, CO 80920 | 2007-08-09 |
| 1063512309 | City Employee Pharmacy | Pharmacy | 30 S Nevada, Colorado Springs, CO 80903 | 2006-09-25 |
| 1588777288 | Catholic Health Initiatives Colorado | Pharmacy | 3030 N Cascade Ave, Colorado Springs, CO 80907-5108 | 2006-08-16 |
| 1558376897 | Walgreen Co | Pharmacy | 2785 Dublin Blvd, Colorado Springs, CO 80918-1360 | 2006-07-29 |
| 1376572321 | Safeway Inc | Pharmacy | 7655 N Union Blvd, Colorado Springs, CO 80920-3863 | 2006-07-02 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.